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Hong Kong Physiotherapy Journal :... Jun 2020Other than pathoanatomical diagnosis, physical therapy managements need the diagnosis of movement-related impairments for guiding treatment interventions. The...
BACKGROUND
Other than pathoanatomical diagnosis, physical therapy managements need the diagnosis of movement-related impairments for guiding treatment interventions. The classification system of the Movement System Impairment (MSI) has been adopted to label the musculoskeletal disorders in physical therapy practice. However, reliability study of this classification system in individuals with shoulder pain has not been reported in the literature.
OBJECTIVE
This paper investigated the intertester reliability of the diagnosis based on the MSI classification system in individuals with shoulder pain.
METHODS
The patients with shoulder pain, between the ages 18-60 years, were recruited if he or she had pain between 30 and 70 on the 100 mm visual analog scale for at least three months. The examiners who were two physical therapists with different clinical experiences received a standardized training program. They independently examined 45 patients in random order. Each patient was examined by both therapists on the same day. The standardized examination scheme based on the MSI approach was used. Patients were identified to subgroup syndromes according to scapular and humeral syndromes and also determining their subcategory syndromes. Six scapular subcategory syndromes included downward rotated, depressed, abducted, wing, internal rotated/anterior tilted, and elevated. Three humeral subcategory syndromes were anterior glide, superior glide, and medial rotated. More than one subgroup and subcategory of syndromes could be identified in each patient. The test results of each session were blinded to another therapist. The percentages of agreement and kappa statistic were determined.
RESULTS
The results showed that agreement levels in identifying subgroup syndromes was fair (71.11% agreement, kappa coefficient 0.34) and classifying subcategories syndromes were poor to substantial (73.33-91.11% agreement, kappa coefficient 0.20 0.66). The overall agreement and kappa value of the MSI classification of subcategory syndromes was poor (kappa coefficient 0.11; 95% CI 0.05-0.18). The agreement level of subcategories for scapular depression and humeral superior glide syndromes was substantial. The scapular winging, depression, and downward rotation were the three syndromes that were most frequently identified by both the examiners.
CONCLUSION
The intertester reliability between therapists with different experience according to the MSI approach for shoulder pain classification was generally acceptable to poor due to the nature of the classification system. The standardized procedure and intensive training can be used for inculcating novice therapists with adequate level of intertester reliability of examination.
PubMed: 32489240
DOI: 10.1142/S1013702520500067 -
Optica Sep 2018Single-shot ultrafast optical imaging can capture two-dimensional transient scenes in the optical spectral range at ≥100 million frames per second. This rapidly...
Single-shot ultrafast optical imaging can capture two-dimensional transient scenes in the optical spectral range at ≥100 million frames per second. This rapidly evolving field surpasses conventional pump-probe methods by possessing the real-time imaging capability, which is indispensable for recording non-repeatable and difficult-to-reproduce events and for understanding physical, chemical, and biological mechanisms. In this mini-review, we survey comprehensively the state-of-the-art single-shot ultrafast optical imaging. Based on the illumination requirement, we categorized the field into active-detection and passive-detection domains. Depending on the specific image acquisition and reconstruction strategies, these two categories are further divided into a total of six sub-categories. Under each sub-category, we describe operating principles, present representative cutting-edge techniques with a particular emphasis on their methodology and applications, and discuss their advantages and challenges. Finally, we envision prospects of technical advancement in this field.
PubMed: 30820445
DOI: 10.1364/OPTICA.5.001113 -
Iranian Journal of Nursing and... 2023Sexual and Reproductive Health (SRH) and access to related services are the most important issues and are part of reproductive health rights. Therefore, this study was...
BACKGROUND
Sexual and Reproductive Health (SRH) and access to related services are the most important issues and are part of reproductive health rights. Therefore, this study was designed and conducted to explain the perceived barriers and needs in accessing sexual health services for Iranian couples.
MATERIALS AND METHODS
We conducted this study on 14 subjects at the Navab Health Center in Isfahan and Behsa Counseling Center in Tehran from November 2015 to December 2016 by common qualitative content analysis approach through semi-structured interviews.
RESULTS
The results show that sub-subcategories "Therapist's Individual Traits" and "Specialized Skills of Therapist" formed "Need for Access to a Professional Therapist" subcategory and sub-subcategories "Provide specialized problem-based treatments" and "Rapid and Timely Therapy of Sexual Problems" formed the "Need for Timely and Comprehensive Access" subcategory and these two subcategories formed the main category of "Need to access a specialized, comprehensive and timely sexual health services system." Furthermore, sub-subcategories of "Failure to Prioritize Sexual Matters" and "Lack of sexual awareness" formed the "Individual Challenges of Search for Sexual Health Services" subcategory, and sub-subcategories of "Sexual Problems are a Taboo" and "Lack of awareness of the existence of sex therapists and sexual health service centers" formed "Sociocultural Challenges to Access Sexual Health Services" subcategory. Two subcategories formed the main category of "Obstacles to Access Efficient and Proper Sexual Health Services."
CONCLUSIONS
The explored couple's experiences demonstrated that the need to receive timely and comprehensive specialized sexual health services because of the obstacles to access is not provided.
PubMed: 37694206
DOI: 10.4103/ijnmr.ijnmr_96_21 -
Sexual Medicine Dec 2018Sexual function and frequency can change between couples during pregnancy and postpartum, with a decline in sexual function in women.
INTRODUCTION
Sexual function and frequency can change between couples during pregnancy and postpartum, with a decline in sexual function in women.
AIM
To investigate sexual function in couples during pregnancy and postpartum.
METHODS
This questionnaire-based cross-sectional descriptive study solicited data from 551 couples, 127 (23%) of whom responded: 15 during the first trimester; 26 during the second trimester; and 21, 22, 21, and 22 at 1, 3, 6, and 12 months postpartum, respectively. The Female Sexual Function Index (FSFI) and International Index for Erectile Function (IIEF) questionnaires were used for female and male participants, respectively, and included questions about delivery, breastfeeding, partner's contribution to housework, and desire to have more children for women, and about aspects of their partner's pregnancy and postpartum life for men. Data about maternal/paternal age, parity, body mass index, and mode of delivery were also collected.
MAIN OUTCOME MEASURE
FSFI and IIEF total and subcategory scores with attributable factors.
RESULTS
The total and subcategory scores related to female and male sexual functions were lowest at 1 and 3 months postpartum, with 79 women reporting female sexual dysfunction (score <26.55). The FSFI subcategory scores (except desire and satisfaction) differed between 1 and 12 months postpartum. The IIEF scores showed no significant differences. The total mean IIEF scores were 17.9 ± 9.6 and 54.9 ± 12.0 in men with and without erectile dysfunction (ED), respectively. The FSFI scores were 8.6 ± 7.2 and 18.2 ± 8.6 in women whose partner had and did not have ED, respectively. No significant differences (P = .76) were observed between the male satisfaction subcategories.
CONCLUSION
Sexual function decreased around the time of delivery for men and women, but did not correlate with the sexual satisfaction of men. Type of delivery, breastfeeding, intimacy, and partner's contribution to housework did not affect sexual dysfunction. Saotome TT, Yonezawa K, Suganuma N. Sexual dysfunction and satisfaction in Japanese couples during pregnancy and postpartum. Sex Med 2018;6:348-355.
PubMed: 30342866
DOI: 10.1016/j.esxm.2018.08.003 -
Seminars in Hearing Nov 2020Smartphone use has become increasingly prevalent and patients are frequently using this technology to engage in health-related activities. There are a variety of... (Review)
Review
Smartphone use has become increasingly prevalent and patients are frequently using this technology to engage in health-related activities. There are a variety of smartphone applications that can be used to assist individuals with hearing loss, particularly during extreme situations such as a global pandemic which results in restricted face-to-face interactions. The hearing-related applications can be divided into four categories: (1) screening and assessment, (2) intervention and rehabilitation, (3) education and information, and (4) assistive tools. Several subcategories of applications in the assistive tools category are described that may be of interest to individuals with hearing loss, whether they wear hearing aids or not. Examples of the apps along with links are included for each subcategory.
PubMed: 33364676
DOI: 10.1055/s-0040-1718712 -
Orthopaedics & Traumatology, Surgery &... May 2022It has been recognized that psychological factors influence the return to sports after anterior cruciate ligament reconstruction (ACLR). The ACL-return to sports after...
Psychological Patient-reported outcome measure after anterior cruciate ligament reconstruction: Evaluation of subcategory in ACL-Return to Sport after Injury (ACL-RSI) scale.
BACKGROUND
It has been recognized that psychological factors influence the return to sports after anterior cruciate ligament reconstruction (ACLR). The ACL-return to sports after injury (RSI) scale was developed based on subcategories of emotions, confidence in physical performance and risk appraisal. However, it has not been clarified describing which is the most influential psychological factor of the ACL-RSI scale.
HYPOTHESIS
Risk appraisal is the most influent for return to sports in the subcategories of the ACL-RSI scale.
PATIENTS AND METHODS
A total of 85 competitive patients who had undergone ACLR were evaluated at 6, 12 and 24 months after surgery. They were classified the return to sports (RTS) group and non-return to sports (NRTS) group. Evaluations were several clinical and functional scores including Cincinnati knee rating system, Knee Osteoarthritis Outcome Score (KOOS), Lysholm score, limitation in activities of daily living (ADL) and sports which estimated by Visual Analog Scale (VAS) score, Isokinetic Muscle Strength (quadriceps and hamstrings), single hop test and anterior laxity. They were investigated their relationship with the ACL-RSI scale including each subcategory.
RESULTS
The total ACL-RSI scale significantly improved at each point. Of the subcategories, only risk appraisal was not significantly different at each point (p=0.21 and p=0.13). There was a significant difference at 24 months after ACLR between the RTS group and NRTS group. In terms of risk appraisal, compared with emotion and performance confidence, the difference in the mean value was the most divergent (RTS group: 55.9±22.7 and NRTS group: 23.8±19.3) and took time to improve through 24 months. Among various clinical and functional scores, there were significant differences in the VAS score for sports, KOOS-symptoms, sports and QOL, Cincinnati Knee Rating System-cut, and single hop test values between two groups. Of these, the KOOS-QOL and VAS score for sports showed particularly strong correlations with ACL-RSI risk appraisal (r=0.75 and -0.68, respectively).
CONCLUSION
Of the ACL-RSI scale, risk appraisal took the longest time to improve and strongly affected the return to sports. The KOOS-QOL and VAS score for sports were most strongly correlated with the ACL-RSI risk appraisal. It seems that it is important to reduce the psychological risk as soon as possible after ACL injury in ACLR patients.
LEVEL OF EVIDENCE
II.
Topics: Activities of Daily Living; Anterior Cruciate Ligament Injuries; Anterior Cruciate Ligament Reconstruction; Humans; Osteoarthritis, Knee; Patient Reported Outcome Measures; Quality of Life; Return to Sport
PubMed: 34763076
DOI: 10.1016/j.otsr.2021.103141 -
Frontiers in Psychology 2019Social robots are becoming increasingly prevalent in everyday life and sex robots are a sub-category of especially high public interest and controversy. Starting from...
Social robots are becoming increasingly prevalent in everyday life and sex robots are a sub-category of especially high public interest and controversy. Starting from the concept of the , a term from Japanese youth culture that describes secluded persons with a high affinity for fictional manga characters, we examine individual differences behind sex robot appeal (, , , ). In an online-experiment, 261 participants read one out of three randomly assigned descriptions of future technologies (, , ) and reported on their overall evaluation, eeriness, and contact/purchase intentions. Higher was associated with higher appeal for all three future technologies. For our male subsample, sex robots and GMOs stood out as shyness yielded a particularly strong relationship to contact/purchase intentions for these new technologies.
PubMed: 30984059
DOI: 10.3389/fpsyg.2019.00569 -
Cancer Cytopathology Nov 2022ThyroSeq assesses the probability of malignancy (POM) in thyroid fine-needle aspiration cytology specimens diagnosed as atypia of undetermined significance (AUS). The...
BACKGROUND
ThyroSeq assesses the probability of malignancy (POM) in thyroid fine-needle aspiration cytology specimens diagnosed as atypia of undetermined significance (AUS). The authors investigated whether defined AUS subcategories are associated with specific molecular alterations, the molecular-derived risk of malignancy (MDROM), and the risk of malignancy (ROM).
METHODS
Fine-needle aspiration cytology reports of AUS and corresponding results from the ThyroSeq version 3 genomic classifier results were retrieved and subcategorized as follicular cells with either cytologic atypia (FC-C), architectural atypia (FC-A), both cytologic and architectural atypia (FC-CA), or a predominance of Hurthle cells (PHC). The MDROM, ROM, and frequency of molecular alterations by subcategory were computed and analyzed, and p < .05 was considered significant.
RESULTS
The final analysis included 541 cases subdivided into 233 with FC-A, 104 with FC-C, 116 with FC-CA, and 88 with PHC. The benign call rate and positive call rate for the AUS category were 72% and 28%, respectively, which varied between AUS subcategories. The MDROM by subcategory was 15.9% FC-A, 20.5% FC-C, 33.8% FC-CA, and 14.4% PHC. Histologic follow-up was available for 155 (28%) AUS cases with a follow-up period ≥12 months. The 95% confidence intervals of the MDROMs overlapped with the ROMs. The highest MDROM and ROM were in the FC-CA subcategory. RAS mutations were present in all subcategories. BRAF V600E mutations and papillary thyroid carcinoma were most frequent in the FC-CA subcategory. Noninvasive follicular thyroid neoplasm with papillary-like nuclear features was significantly more frequent in the FC-C subcategory.
CONCLUSIONS
The current results demonstrated that AUS subcategories are associated with specific genetic alterations, the MDROM, and the ROM. Molecular results and an awareness of various cancer probabilities within AUS subcategories can allow for a more tailored management.
Topics: Humans; Thyroid Neoplasms; Biopsy, Fine-Needle; Cytodiagnosis; Genomics; Probability; Thyroid Nodule; Adenocarcinoma, Follicular; Retrospective Studies
PubMed: 35775861
DOI: 10.1002/cncy.22617 -
Briefings in Bioinformatics Mar 2020Cancer is well recognized as a complex disease with dysregulated molecular networks or modules. Graph- and rule-based analytics have been applied extensively for cancer... (Review)
Review
Cancer is well recognized as a complex disease with dysregulated molecular networks or modules. Graph- and rule-based analytics have been applied extensively for cancer classification as well as prognosis using large genomic and other data over the past decade. This article provides a comprehensive review of various graph- and rule-based machine learning algorithms that have been applied to numerous genomics data to determine the cancer-specific gene modules, identify gene signature-based classifiers and carry out other related objectives of potential therapeutic value. This review focuses mainly on the methodological design and features of these algorithms to facilitate the application of these graph- and rule-based analytical approaches for cancer classification and prognosis. Based on the type of data integration, we divided all the algorithms into three categories: model-based integration, pre-processing integration and post-processing integration. Each category is further divided into four sub-categories (supervised, unsupervised, semi-supervised and survival-driven learning analyses) based on learning style. Therefore, a total of 11 categories of methods are summarized with their inputs, objectives and description, advantages and potential limitations. Next, we briefly demonstrate well-known and most recently developed algorithms for each sub-category along with salient information, such as data profiles, statistical or feature selection methods and outputs. Finally, we summarize the appropriate use and efficiency of all categories of graph- and rule mining-based learning methods when input data and specific objective are given. This review aims to help readers to select and use the appropriate algorithms for cancer classification and prognosis study.
Topics: Algorithms; Data Mining; Datasets as Topic; Genomics; Humans; Machine Learning; Neoplasms; Prognosis
PubMed: 30649169
DOI: 10.1093/bib/bby120